Mr Jimmy Demario Jackson, OTRL - Occupational Therapist in Winston Salem, NC

Mr Jimmy Demario Jackson, OTRL is a Occupational Therapist based in Winston Salem, North Carolina. Mr Jimmy Demario Jackson is licensed to practice in North Carolina (license number 5827) and his current practice location is 5755 Shattalon Dr, Winston Salem, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 744-2779.

NPI number for Mr Jimmy Demario Jackson is 1760516116 and his current mailing address is 1009 File St, Winston Salem, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760516116.

Contact Information

Mr Jimmy Demario Jackson, OTRL
5755 Shattalon Dr,
Winston Salem, NC 27105-1332
(336) 744-2779
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Jimmy Demario Jackson
GenderMale
SpecialityOccupational Therapist
Location5755 Shattalon Dr, Winston Salem, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760516116
  • Provider Enumeration Date: 03/16/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jimmy Demario Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760516116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 5827 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jimmy Demario Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jimmy Demario Jackson, OTRL
1009 File St,
Winston Salem, NC 27101-3230

Ph: (336) 331-2946
Mr Jimmy Demario Jackson, OTRL
5755 Shattalon Dr,
Winston Salem, NC 27105-1332

Ph: (336) 744-2779

Reviews and Comments


Occupational Therapist in Winston Salem, NC

Jonelle Claricia Bedford,
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Medicare: Not Enrolled in Medicare
Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110
Phone: 336-750-3174    
Catherine Coats,
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Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110
Phone: 336-750-3174    
Martha Bowers,
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Medicare: Not Enrolled in Medicare
Practice Location: 3812 Forrestgate Dr, Winston Salem, NC 27103
Phone: 336-774-3752    Fax: 336-774-3773
Mrs. Mary C Winford,
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Medicare: Not Enrolled in Medicare
Practice Location: 2585 Mid Salem Dr, Winston Salem, NC 27103
Phone: 601-754-4303    
Brittany Dixon,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110
Phone: 336-750-2000    
Mrs. Kelli B Cross, MOTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5755 Shattalon Dr, Winston Salem, NC 27105
Phone: 336-744-2779    
Brianna Ciara Fleming,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110
Phone: 910-551-2446    

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